| NPI | 1528313111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD NICHOLAS KIDD CEO 225-590-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: LA 6566327) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-10-10 |